This is a broad question that all runners have asked themselves at one point or another. Running and pain have a complex relationship. It is a rare occasion when there’s not a little pain here or a kink there that worries us after a hard workout, or as a race approaches. Most of these come with the territory of being a runner. Comedian Dana Carvey wisely said: “If I only ran when nothing hurts, I would never run”.
By the way: I am stating here that I am not a medical doctor, nor a physical therapist, nor a practitioner of any of the medical sciences. These are just suggestions based on 40+ years of experience as a runner. Consult your physician before making any health decision. Don’t base them on what you read here. With that out of the way, I continue.
Be smart when dealing with pain and you will avoid injuries (Photo Pexels: Kindel Media)
Most of our daily aches and pains are usually a product of the normal wear and tear from practicing our sport, and many times it is OK to run through them. But beware. The era of the “no pain, no gain” approach to running is long gone. The “nothing can stop me” macho attitude is not conducive to a long or a healthy running career. It is not the same to finish a marathon when you started limping at mile 25, than running through that same limp since mile 7. Aches and pains can be red flags and we must be able to identify them on the fly.
Most running injuries happen from a combination of repetitive movement and/or not enough recovery. When we approach this place in our training, our body usually provides us with warning signs. The more in tune we are with our bodies, the clearer we receive such communications. And the only way to be in tune with your body’s signals is to acquire more experience by running more.
When can we run through pain?
1 – When your pain is a product of basic muscle soreness: By running we put an extraordinary amount of stress into our musculoskeletal structure. Muscle soreness is a natural byproduct of it. The more experience you gain as a runner, the more you will be able to discern on the source and type of your pains. Some muscle soreness if normal. If you don’t have to compensate and/or change your form, you should be ok by running through minor discomfort.
2 – If pain subsides or decreases as you warm up: It is normal to feel some pain and discomfort as you initiate your run. If you just woke up or spent an extended period sitting down, this is normal. Muscles, tendons and ligaments need to get back into shape to carry you through. Resetting your range of motion with exercises such as the lunge matrix, and/or warming up properly should help you accomplish this, and allow you to have a good session.
If you have determined that you will run through the pain and discomfort, don’t be afraid to adjust your training session to the current situation. Don’t be afraid to go slower, cut the run short, or dial back the intensity if needed. Always have in mind that no one training session will make you or break you. It is the small, consistent gains what’s will make you better. And you won’t be able to compile them if you are out of commission with a preventable injury.
When should we not run through pain?
1 – If there is excessive fatigue: It is normal to be tired from training, especially when you are increasing your mileage, add weight training, or you approach the peak portion of your race program. What is not normal is to wake up so beat up that you are not sure if you can complete your session for the day. This is a clear sign that it is time to dial back and recover before you get overtrained or injured.
2 – When it forces you to alter your form: Minor aches or discomfort is one thing, altering and adjusting your form because pain is too severe is a red flag and you should stop immediately. If you keep going, you could damage something else by moving in a way your body wasn’t designed for or by adding stress to structures unprepared to sustain it at the time.
3 – If it gets worse as you run: If whatever you feel increases as you go through your training session, stop immediately. It is not going to get better by running further. Assess the situation and figure out if it needs professional consultation.
4 – Through intense pain: Regardless of how seasoned you are as a runner, you should be able to discern what intense pain is. You know what a normal nuisance is. Use common sense to identify the types and levels of pain you are not supposed to run through. If it hurts that bad, something must be wrong. Stop. Assess. Consult a professional.
Have in mind that running is an impact sport. You are hitting the ground with about 300% of your body weight about 800 times per leg, per mile. This causse muscle and soft tissue damage. So, something is usually going to ache or be sore. It is when the body repairs itself from that stress that you become fitter and stronger.
As we gear up for our goal races for the 2024-25 season, we set up objectives, benchmarks, training plans and invest countless hours, sacrifices, money, and emotions into what we want it to be. So, this may be an appropriate time to remind ourselves that we do this because we like challenges, because we are a little bit crazy, and because we like running. Nobody runs (or shouldn’t) because of a desire to be miserable.
Unfortunately, the ubiquitousness of the GPS watch in our sport has made us a bit miserable by turning our attention to countless measurements, mostly of parameters we don’t understand or should even care for. This, combined with social media oversharing, has turned training into competition. It has led to many a runner burnout, injury, and the withdrawal of the fun element of running.
I am writing this blog post because I recently saw the meme below (Credit to the appropriately named website www.dumbrunner.com). Is this you?
From www.dumbrunner.com
Unfortunately, this is not meant to be a funny meme. It is a sad reflection on what many of us have become thanks to a combination of what our GPS watch can measure and what we can share in social media. If this is not you, someone close to you certainly is.
We all know that person who:
• stops the watch at a traffic light or water break because it will mess their averages.
• equates their personal or athletic self-worth to their racing PRs.
• complained that a World Marathon Major was mismeasured because their GPS watch said so.
• ended up on the verge of death on a day it just wasn’t meant to be rather than show their unknown Strava friends that they had a difficult day.
• lives by his/her VO2Max fluctuation without even understanding what that VO2Max measures.
• refuses to take a day off because they’ve been predicating they are in a streak and nothing can stop them.
I once heard Coach Jonathan Marcus state that “the watch is a record, not a director”. What a deep thought! And sure, we all want to know what’s happening with our running, especially now that instant feedback is a wrist flip away. But most of what is being measured is product our running, it is not our running per se.
We must understand that:
• A 9.94 vs. a 10.00 run is not going to make a difference in your training.
• Not all intervals are supposed to measure how far or fast we can run on a predetermined amount of time or distance.
• Not everyone is interested in the splits of each one of your 20, 200-meter repeats.
• It still counts towards your fitness even if you did not post it on Facebook.
• Sure, courses may be mismeasured sometimes, but this is not determined by your GPS watch, regardless of how advanced it is.
• A day off, or two, is not a sign of weakness.
Not looking at your watch from time to time is a liberating experience. Try it. And the coolest thing of all is that your run still counts towards your fitness, your yearly milage and your training log even if your friends don’t know about it.
I am not advocating against GPS watches. It is a useful tool, with mass appeal, affordable and has revolutionized training in almost every sport. I can only imagine what Emil Zatopek, Paavo Nurmi or Frank Shorter could have done with one of those on their wrist. What I am promoting is the return of having fun on our runs. Making sure we are putting ourselves through a 20-mile run on a muggy summer day for the right reasons. In my book, showing strangers on Instagram how tough you are is not a valid reason.
Have you experienced and unhealthy relationship with your GPS watch? If so, share how you were able to overcome it, in the comment box below.
While the mistakes a novice runner makes as he/she breaks into the fascinating and addictive world or running are plentiful, there is only one, as a coach, I consider the Cardinal Sin. The one that will lead you to breakdown, overtraining and injury. This sin is comprised of three elements, which when combined become a dangerous cocktail: Too much, too fast, too soon.
If you don’t allow your tissues to recover before you do it again, they will break down and you will get injured (Image by Copilot for Windows)
And, before you think: ”I am a seasoned runner, so it doesn’t apply to me”, know that this sin also applies to coming back from injury. And you know that unless you hit the genetic lottery, you will eventually injure something.
As a novice you are so excited about the sport and your progress that you feel invincible. You can’t be stopped. It is a wonderful feeling. But there is so much to learn about shoes, science, mechanics, and the latest tech gear that something will go awry.
You might end up with the wrong shoes. You might forget strength or cross training because you’re focused on racking up more miles. You may succumb to bad mechanics. You might start comparing yourself to your friends, your neighbors or even the world elites. Each issue will bring its own set of consequences.
Too much, too fast, too soon is the cardinal sin of the novice runner because it will affect their recovery and thus, their adaptation to training. It will negate the gains. It will get them overtrained, burned out and could lead to overuse injuries. Do I need to say more?
Let’s break down the elements of this “Cardinal Sin”:
Too Much: The progress curve for the novice runner is very steep. The more you run, the easier it becomes. You feel you can run longer, faster, and more frequently. While this is true, your body is not ready for the wear and tear of the constant pounding, so it needs more time to recover and adapt. Recovering so you can do it again is what “being fit” means. Running is a journey that may last a lifetime as long as you manage it properly. It requires patience and wise execution. If you don’t, your running life will be painful and short.
A long and successful career in running is in your hand. Manege it properly (Image by Copilot for Windows)
Too Fast: Running slow so you can run fast is a counter intuitive thought. But the concept has been proven repeatedly. The era of GPS watches and social media oversharing have pushed us to thinking that recovery runs, or God forbid a bad run, are shameful elements in our training. That taking a day off is a sign of weakness. What will our followers think? So, we refuse to slow down. Inevitably, the progress curve will flatten. If it didn’t, we would all eventually break a world record. And that’s not going to happen. So, take it easy on easy days. That’s the exact reason they’re labeled as “easy”.
Too Soon: Ligaments, tendons, cartilage, bones, and muscles must adapt to the pounding of running. This means they need to repair themselves from all the micro-tears caused by the constant percussion. Setting up our bodies to become an effective auto-repair shop needs time and purposeful effort. If you are planning to check an item off your bucket list and move on, you might be able to get away with it. If you plan to run for a lifetime, you don’t need to run all your distances and PRs in the first week, month or season. Give it time. You have it.
My running experience of several decades allows me to insist that you understand that accomplishing your running goals takes time. A lot of time. The old clichés “it is not a sprint; it is a marathon”, or “it is a journey, not a destination” fit in perfectly into this narrative.
Trust the process, be patient, keep it easy on easy days and be constant. While running injuries will affect most runners during our careers, the better prepared we are to confront them, the faster they’ll heal. Especially if we set up a solid base from the start.
Any personal stories you would like to share with the readership? Please do so in the box below.
In my last blog post, I wrote about learning the hard way. Within the same theme, today I bring you the story of Javier Mota, a journalist and friend who despite going out of his way to not consider himself a runner, put together a 1000+ day running streak. Given his accepted stubbornness, he is currently paying the consequences of not listening to his body. With his permission, I am publishing an article he wrote about his experience.
Good and bad consequences after running every day for 3 years and 21 days.
The diagnosis by Dr. Luis Valenzuela from the Meds Clinic in Santiago de Chile, which stopped my 3 years and 21 days of running every day, was forceful:
“You obviously have internal femorotibial osteoarthritis, with a degenerative tear of the internal meniscus. Also, chondral lesions in the patella. There is bone edema of the medial femoral condyle and medial tibial plateau due to joint wear and overload.”
Javier Mota is a renowned automotive journalist and a friend. (Photo: courtesy of Javier Mota)
In simple words, the MRI results showed how badly I messed up my left knee, mainly due to a clear case of the fine line between stubbornness and stupidity.
In hindsight, I should have stopped running when the pain and discomfort began on March 15, 2023, but out of my stubbornness, rather than determination or discipline, I ran 5 additional months in pain, first trying to reach the 1,000-day mark and then, 3 years.
The additional 21 days only confirmed my lack of good sense and probably made things worse.
“Pain is not normal”, another orthopedic doctor once told me during a casual conversation in a bar in St. George, Utah, after I insisted on running for a couple of months despite the discomfort.
Long before that, when I reached the 2-year mark, in August 2022, Dr. Scott Lang, University of Central Florida´s Professor of Family Medicine, warned me: “Never run in pain. If you have muscle pain or joint pain when you run, ice it and rest. If the pain persists for more than a week, see your doctor”.
Obviously, I did not pay attention and on August 21, 2023, at the end of my annual ski trip to Chile, I finally decided to have my left knee checked by Dr. Valenzuela, who after a quick visual and tactile examination, immediately determined that an MRI was necessary.
Of course, between the time that passed from the end of the MRI and the time I received the diagnosis, I went out for the last run (2.75 miles in 30:36) because I sensed the end of the streak was approaching, under medical prescription.
The truth is that the discomfort never reached the point of paralyzing me, although, between March 15 and August 21, 2023, I reduced the distance and speed of each run, thinking that the pain would be reduced. That didn’t happen, but it didn’t get worse either.
This is Javier’s messed up left knee (Foto: Courtesy of Javier Mota)
Dr. Valenzuela attributed this to the fact that through constant exercise for 1,115 days in a row, I was able to build enough muscle mass to absorb most of the impact on my knee.
Now, the next challenge is to dedicate myself with the same intensity to a rehabilitation program and incorporate other athletic activities, without impacting the knees to maintain the physical condition and weight (165 pounds).
Those last two were undoubtedly the biggest benefits of the running streak, which began on August 1, 2020, during the Covid pandemic, thanks to a private Facebook group, to get out of lockdown.
In all, I ran 3,257.3 miles, an average of almost 90 miles per month. The equivalent of driving from Miami to Seattle.
All this, despite the fact that I have never felt like a “real runner”. If I was, I would have followed the 3R advice of the experts to replenish, rest, and recover, and not become a “slave to the streak”, as Running Coach Adolfo Salgueiro warned me. But that’s exactly what I did.
I never warmed up before a run, nor did I stretch at the end. I have never undergone a serious training program to achieve a specific goal. Nor did I pay much attention to the advice not to wear old and worn-out shoes or to buy ones specially molded for my feet. As a consequence, I never improved my time or distance in these 3 years.
And as I said before and I repeat now, I don’t like to run. I think it’s boring, so much so that for the last few months of the streak I tried to entertain myself by picking up trash on the road, sometimes at an astonishing rate of 10+ pieces per mile. Thanks to that, and in a very unscientific way, I verified that the Modelo Especial has indeed become the most popular beer in the United States, given the number of empty cans I have found in recent months during my runs.
I also started stopping to say hello to all the dogs I saw on the trail, perhaps to justify my slower pace and to give my knee a rest, until one of them bit me on the left thigh, something unrelated to the injury, which eventually ended the streak.
Now the benefits
I always appreciated what happens when you run every day. You feel better physically and mentally, you sleep and work better, and you can eat and drink more. And you always feel good after every run, unless you get bitten by a dog.
Also, it was great to receive encouragement from other runners, non-runners and even from companies like New Balance and Apple who sent me products as an incentive to keep the streak alive; and from car brands that celebrated some of the streak’s milestones when they coincided with some of their test driving programs around the world.
One of the 1,021 consecutive runs that lead to the devastating injury (Foto: Courtesy of Javier Mota)
It was also a pleasure to run in 16 countries and over 100 cities.
But what I enjoyed the most was the daily challenge of finding the time and place to run every day, despite the complications of constant travel as part of my job as an automotive journalist.
The longest run (almost 9 miles) was in Munich, Germany, on September 2021, not because I wanted to run that distance, but because I got lost. The fastest run was a 10K at a pace of 7:58 minutes per mile, at home.
On December 31, 2022, I checked out at 11:30 p.m. to complete the daily 5k and then did another one starting right at midnight and ending on January 1st. 2023 to start the New Year.
Several times, I landed at an airport and got out of the car on the way to the hotel so I could run before the end of the day. I also ran inside various airports, before and after flights.
So, in the end, it was a good run while it lasted, but I have a few points to consider now that this is all over:
First, I do not recommend it to anyone! It’s easy to become addicted, even a slave to personal achievement like this one.
And most importantly, as I’ve learned the hard way, it’s essential to recognize that running every day for an extended period, not only can, but surely will cause injury sooner or later.
In conclusion, listen to the experts and to your body; take adequate rest when necessary to prevent exhaustion and possible long-term health problems.
Without a doubt, this streak of three years and 21 days was an extraordinary journey, which some have called “an example of determination, discipline and the pursuit of personal goals”, but it is also important to remember that the physical conditioning process of each individual is unique and must be approached with care and respect for one’s own body.
Maybe I will run again someday, but I will never run every day for 3 years and 21 days.
Javier Mota is a renowned automotive journalist and a friend. You can follow him on Instagram @javiermota, or at his website: https://autos0to60.com/. He made a YouTube video with his original post. If you want to check it out, you can do so by clicking here – https://www.youtube.com/watch?v=G8sdfsl0c9w
Last week I was talking to a friend who is helping his brother train for his first half marathon. He told me the toughest part of the process is making him understand that the “no pain, no gain” old-school mentality no longer applies to running. The days of alchemy are over. The collective thought has evolved and adjusted to new science studies or discoveries, thus, we understand matters in a new way, one that 5, 10 or 50 years ago was unheard of.
In 1968 Kathrine Switzer had to finagle her way into the Boston Marathon because back then women were thought to be so fragile, they could not endure such physical punishment. The carb depletion pre-marathon protocol was the rage in the mid-1980s, today we know it makes no sense. The “I run through pain” approach that showed bravado 20 years ago, displays recklessness, today. And like that, many more running ideas that once we thought gospel, today are barely gimmicks.
A good book worth the time and the money. Highly recommended.
In his book “Do Hard Things” author Steve Magness, one of my coaching role models, talks in depth about getting over of this old-school thinking. He explains how toughness is navigating through your training, not bulldozing through it. This how we avoid overtraining, and even worse, injuries. It is about being smart.
He goes through eight strategies to develop real toughness as a runner. I am not going to go through all of them, of course. If you want to go in depth into them, that’s what the book is for. But I will briefly touch on three that caught my attention and that I now teach my coached athletes.
A – Our alarms are adjustable: “Being tough gets easier the fitter you are.”
What an avant-garde concept! Think about it this way: If you spent the last 10 years on the couch watching TV and eating Doritos but decide to go for a 5K run, most likely you will suffer through it, regardless of your commitment or toughness. But, if you got the running bug, you trained smartly, diligently, and two years later you complete a marathon, it is not because you have multiplied your toughness. You reaped the benefits of your work and got better at it. Just like the first time Bruce Springsteen picked up a guitar, which these days is an extension of his body.
B – We need hope and control: “The key to improve mental toughness doesn’t lie in constraining and controlling individuals. It doesn’t lie in developing harsh punishments to teach a lesson. It doesn’t lie in screaming at the person to complete the task in front of them.”
The era of “I am not done when we are tired, I am done when I am done”, is done (pun intended). If you are training for a marathon, you need to run 18 miles but you are feeling unwell, stressed at work, just had a fight with your spouse last night, didn’t sleep well, it is a hot/humid summer morning and you are beat up at mile 15… what’s best? Calling it a day and be happy you completed 80% of your workout despite the circumstances, or pushing through while destroying yourself, to prove your machismo and then having to take 7-10 days to recover from the effort? … Exactly!
Finishing exhausted after a training session could lead to injury. Be smart and always live to run another day. (Photo: Pexels)
C – Feelings and Understanding need interpretation: “The power through mantra only makes sense if you take stock in what you are powering through.”
I want to make sure my readers understand I am not saying you need to be complacent when training gets difficult. We need to learn how to power through difficult trainings, races, cross training and life. The key is to understand why we are doing what we are doing. If we are trying to run at race pace, then race pace sessions will be difficult. But we need to push through them if we want to understand and teach our bodies how to run at that pace. When we start strength training, or add yoga to our plan, everything will hurt, but there’s a good reason to keep going despite the aches and pains. It is not about suffering for fun; it is about reaping benefits in the near future.
These is my take on three of these principles, I fully recommend the book. “Do Hard Things” is a good investment of time and money for any runner out there. And it is not just for runners, but for every person wanting to get better at leaving their comfort zone behind and actually going for what they want, for their life goals, not just the athletic ones.
Please leave me your thoughts nn this blogpost, in the box below.